Race, socioeconomic status, and the perceived importance of positive self-presentation in health care

Malat, Jennifer; Ryn, Michelle van; Purcell, David

doi:10.1016/j.socscimed.2005.11.014

Cited by 50 publications

(38 citation statements)

References 49 publications

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“…6 Disparities between the qualities, characteristics, and social standing of healthcare professionals and their patients may foster considerable social distancing from this population, negatively affecting the quality of patient care delivered. 4 Thus, an important way of reframing negative stereotypes is to bring students into closer contact with patients who are different and increase their understanding of this American…”

Section: Discussionmentioning

confidence: 99%

“…1 Healthcare professionals' limited understanding of caring for patients who face economic, cultural, or linguistic barriers can generate negative attitudes and stereotypes toward this vulnerable population. [1][2][3][4][5] This subjectivity can consequently result in social distancing and animosity, which could compromise the quality of care delivered and further exacerbate the effects of health disparities. 1 Similar disconcerting observations were evident among pharmacy students during their advanced pharmacy practice experiences (APPEs,) at a primary care clinic that provides care for underserved patients.…”

Section: Introductionmentioning

confidence: 99%

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Impact ofPatient Empathy Modelingon Pharmacy Students Caring for the Underserved

Chen¹,

LaLopa²,

Dang³

2008

Am J Pharm Educ

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Objective. To determine the impact of the Patient Empathy Modeling pedagogy on students' empathy towards caring for the underserved during an advanced pharmacy practice experience (APPE). Design. Pharmacy students completing an APPE at 2 primary care clinics participated in a Patient Empathy Modeling assignment for 10 days. Each student ''became the patient,'' simulating the life of an actual patient with multiple chronic diseases who was coping with an economic, cultural, or communication barrier to optimal healthcare. Students completed the Jefferson Scale of Physician Empathy (JSPE) before and after completing the assignment, and wrote daily journal entries and a reflection paper. Assessment. Twenty-six students completed the PEM exercises from [2005][2006]. Scores on the JSPE improved. Students' comments in journals and reflection papers revealed 3 major themes: greater appreciation of the difficulty patients have with adherence to medication and treatment regimens, increased empathy for patients from different backgrounds and patients with medical and psychosocial challenges, and improved ability to apply the lessons learned in the course to their patient care roles. Conclusion. A Patient Empathy Modeling assignment improved pharmacy students' empathy toward underserved populations. Integrating the assignment within an APPE allowed students to immediately begin applying the knowledge and insight gained from the exercise.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact ofPatient Empathy Modelingon Pharmacy Students Caring for the Underserved

Chen¹,

LaLopa²,

Dang³

2008

Am J Pharm Educ

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“…Using a telephone survey and a sample of 695 Caucasian participants and 510 African American participants, Malat et al (2006) had found that African Americans, persons of lower socioeconomic status, and persons of increasing age were more likely to believe that self-preservation strategies were important when receiving health care services. It is unclear whether this is due to beliefs of inequality or something else.…”

Section: Discussionmentioning

confidence: 99%

“…Some research has begun exploring this area. For example, using a telephone survey, and a sample of 695 Caucasian participants and 510 African American participants, Malat, van Ryn, and Purcell (2006) found that African Americans, persons of lower socioeconomic status, and persons of increasing age were more likely to believe that self-preservation strategies are important when receiving health care services. Additionally, Frazier, Mintz, and Mobley (2005) looked at the relationship between self-reported religious involvement and psychological well-being in a sample of 86 African Americans and found that higher levels of self-reported religiosity were negatively related to self-reported psychological difficulties.…”

Section: Rationalementioning

confidence: 99%

The Influence of Cultural Health Beliefs on Self-Reported Mental Health Status and Mental Health Service Utilization in an Ethnically Diverse Sample of Older Adults

Cole

Stevenson²,

Rodgers

2009

Journal of Feminist Family Therapy

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Beliefs about health are influenced by culture; psychological phenomena are interpreted and dealt with in diverse ways across cultures. Cultural health beliefs are especially important in the area of mental health in which there is often an aversion toward seeking help, especially outside the family, and client behavior is often regarded as problematic (Williams & Healy, 2001). Guided by the Health Beliefs Model (Rosenstock, 1990), we explored the influence of cultural health beliefs, physical health, ethnicity, and gender on self-reported general mental health and the use of mental health services in a racially diverse sample (African American (N = 56), non-Hispanic White (N = 140)) of adults aged 65 years and older. The sample was obtained from a rural, economically disadvantaged county in southwest Virginia in 2005. Results from the hierarchical and logistic regression analyses are reported, followed by discussion and recommendations.

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“…Positive self-presentation as a strategy may be used by disadvantaged groups to improve their medical treatment. AfricanAmerican and lower socioeconomic status persons are more likely than whites or higher socioeconomic status persons to report that positive self-presentation is important for their getting the best medical care (Malat, van Ryn, & Purcell, 2006).…”

Section: Race and Ethnicitymentioning

confidence: 99%

Relational Competence Theory

L’Abate

Cusinato

Maino

et al. 2010

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Race, socioeconomic status, and the perceived importance of positive self-presentation in health care

Cited by 50 publications

References 49 publications

Impact ofPatient Empathy Modelingon Pharmacy Students Caring for the Underserved

Impact ofPatient Empathy Modelingon Pharmacy Students Caring for the Underserved

The Influence of Cultural Health Beliefs on Self-Reported Mental Health Status and Mental Health Service Utilization in an Ethnically Diverse Sample of Older Adults

Relational Competence Theory

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